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General NPI Number Information
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NPI Number | 1851057905
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Entity Type | Organization
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Legal Business Name | 5280 HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 7400 E ORCHARD RD STE 210-S
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2528
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Country | US
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Telephone | 720-504-0000
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Fax | 720-504-1111
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Provider Business Mailing Address
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Address Line | 7400 E ORCHARD RD STE 210-S
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2528
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Country | US
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Telephone | 720-504-0000
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Fax | 720-504-1111
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YEVGENIY MAGAY
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Credential |
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Telephone | 720-504-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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